Active NPI
Sandra B Dunn, LCSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1548435480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW0957
- Practice address
- 9428 Baymeadows Rd
Suite 134
Jacksonville, FL 32256-7969 - Phone
- (904) 737-5890
- Fax
- (904) 737-5889
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW0957 | FL | Primary |
Addresses
Primary practice location
9428 Baymeadows Rd
Suite 134
Jacksonville, FL 32256-7969
Mailing address
9428 Baymeadows Rd
Suite 134
Jacksonville, FL 32256-7969
Phone (904) 737-5890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW0957 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1548435480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9428 BAYMEADOWS RD",
"address_2": "SUITE 134",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567969",
"telephone_number": "904-737-5890",
"fax_number": "904-737-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9428 BAYMEADOWS RD",
"address_2": "SUITE 134",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567969",
"telephone_number": "904-737-5890",
"fax_number": "904-737-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "SANDRA",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW0957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.